Inclusion criteria : completing a consent form, having symptoms of knee osteoarthritis in at least one recent month, age between 40 and 60, lack of the presence of any other disease around the affected limb. Exclusion criteria: having diabetes, having diseases such as Rheumatism, gout, collagen vascular and lupus, very severe osteoarthritis of the knee based on radiology, having accompanying radiculopathy, having brucella, BMI above 42, history of trauma, fracture and injury to the affected joint, nerve damage and neuropathies, inability to communicating and completing questionnaires, history of knee replacement on the affected side, history of allergies to drugs used in the study, history of significant heart, kidney, liver and lung disorders, pregnant and lactating women, history of injection in the affected joint or in addition in the last 3 months , patients taking anticoagulants, cancer patients, history or gastrointestinal disorders and stomach problems, consuming warfarin and ticlopidine and aspirin, uncontrolled hypertension.